Pharmacy Pricing
Quiz by Nicole Talarico
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- Q1
As more generic manufacturers enter the market to manufacture a specific drug, the AWP discount
Increases
Decreases
Stays the same
Increases at first, but then decreases
30sEditDelete - Q2
What happens if another PBM classifies Single Source Generics as a Brand?
The brand minimum discount guarantees will stay the same
None of the above
The brand minimum discount guarantees will be decreased
The brand minimum discount guarantees will be inflated
30sEditDelete - Q3
When it comes to repricing
All of the above
The broker/consultant should reprice the claims file with our enhanced discounts
You should be aware that when a broker/consultant asks for a claims file, it is because they are conducting a market check or looking at competitors. Also be sure to ask the broker/consultant what time period they are using for the reprice
We should be offering to provide are priced claims file with current pricing
30sEditDelete - Q4
What do we see other PBMs exclude from their 100% pass through rebate offer?
Dispensing Fees & Over the Counter (OTC) and Limited Distribution Drugs (LDD)
Manufacturer Admin Fees (MAF) & Price Protection
30sEditDelete - Q5
The following are all questions you should ask a broker/consultant when they request a reprice except:
What type of formulary are they using
How many members does the competitor have?
Are single source generics counted as generics or brands?
Is there an admin charge for vaccines or COVID testing products
30sEditDelete - Q6
What do we see other PBMs exclude that would impact a rebate guarantee?
Over the Counter (OTC) and Limited Distribution Drugs (LDD)
Manufacturer Admin Fees (MAF)
Price Protection
Dispensing Fees
30sEditDelete